| 1. SHIPPING ADDRESS: |
| Name: |
| Address: |
| City: |
| Province or State: |
| Country: |
| Postal Code or ZIP: |
| Telephone #: |
| Fax: |
| E-Mail: |
|
| 2. YOUR ORDER: |
| The
Yearly Teaching Content for Atom, Pee-Wee and Bantam |
Quantity: __________ X $31.80 ($30.00 + GST)
Total: $_________ |
| Ice
Hockey Learning Steps Guide |
Quantity: __________ X $31.80 ($30.00 + GST)
Total: $_________ |
| Ice
Hockey Teaching Program for Novice and Pre-Novice |
Please contact Hockey Benoit Barbeau directly
concerning the sale or rent of this program. |
|
| 3. DELIVERY: |
Please contact Benoit Barbeau directly if you require delivery via Express
Post (Canada only), Purolator Courier, or if your order is for more than two
books. We will calculate the exact amount for shipping your order.
| Area |
1 or 2 Books
Surface Mail |
TOTAL |
| Quebec |
$9.00 |
$_________ |
| Canada |
$10.00 |
| Area |
2 Books
Surface Mail |
2 Books
Air Mail |
1 Book
Surface Mail |
1 Book
Air Mail |
| United States |
$12.00 |
$14.30 |
$10.50 |
$12.50 |
| International |
$12.85 |
$22.25 |
$12.50 |
$16.25 |
| TOTAL: $_________ |
|
|
| GRAND TOTAL: (in Canadian funds) |
Payable
by cash, cheque or money order made out to HOCKEY BENOIT BARBEAU INC. (Contact us directly for credit card orders.)
Total: $_________  |
|
| 4. PURCHASER INFORMATION: |
Function: |
r Coach |
r Administrator |
r Tech.-Advisor |
| Other: |
| Region: |
|
| PLEASE PRINT OUT AND RETURN THIS ORDER FORM WITH PAYMENT TO: |
Hockey Benoit
Barbeau Inc.
6970 Mazarin Street
Montreal, Quebec
Canada
H4E 2X7
Tel: (514) 766-7423
Fax: (514) 766-9712
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